Definition of Premature ejaculation
Premature ejaculation occurs when a man has an orgasm sooner during intercourse than he or his partner wishes.
Causes, incidence, and risk factors
Premature ejaculation is a common complaint. It is only rarely caused by a physical problem.
Symptoms
The man ejaculates before he or his partner would like (prematurely). This may range from before penetration to a point just after penetration. It may leave the couple feeling unsatisfied.
Signs and tests
There usually are no abnormal findings with the condition. The health care provider can get more useful information from interviewing the person or couple.
Treatment
Practice and relaxation should help you deal with the problem. Some men try to distract themselves by thinking nonsexual thoughts (such as naming baseball players and records) to avoid getting excited too fast.
Expectations (prognosis)
In most cases, the man is able to learn how to control ejaculation through education and by practicing the simple techniques outlined. Chronic premature ejaculation may be a sign of anxiety or depression. A psychiatrist or psychologist can help treat these conditions.
Review
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. – 9/3/2010
